Individual
AMANDA LYNN DIVITTORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4665 SWEETWATER BLVD, SUGAR LAND, TX 77479-3135
(281) 265-7645
Mailing address
2511 WILLOWICK RD APT 508, HOUSTON, TX 77027-3976
(504) 376-7979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39678
TX
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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